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This is VAERS ID 679469

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2017

VAERS ID: 679469
VAERS Form:
Age:51.0
Gender:Female
Location:Vermont
Vaccinated:2017-01-18
Onset:2017-01-19
Submitted:2017-01-20
Entered:2017-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M022086 / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chills, Dizziness, Fatigue, Hyperhidrosis, Hot flush, Vaccination site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Smoker; asthma; H/O pneumonia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient started w/chills and hot flashes, sweats on 1/19/17 at 3:00 pm. Patient in our office 1/20/17 2:00 pm, still complains of fatigue, lightheaded, painful at vaccination site (L) deltoid. Temp. 98.6 degrees F.


Changed on 9/14/2017

VAERS ID: 679469 Before After
VAERS Form:(blank) 1
Age:51.0
Gender:Female
Location:Vermont
Vaccinated:2017-01-18
Onset:2017-01-19
Submitted:2017-01-20
Entered:2017-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M022086 / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chills, Dizziness, Fatigue, Hyperhidrosis, Hot flush, Vaccination site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Smoker; asthma; H/O pneumonia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient started w/chills and hot flashes, sweats on 1/19/17 at 3:00 pm. Patient in our office 1/20/17 2:00 pm, still complains of fatigue, lightheaded, painful at vaccination site (L) deltoid. Temp. 98.6 degrees F.


Changed on 2/14/2018

VAERS ID: 679469 Before After
VAERS Form:1
Age:51.0
Gender:Female
Location:Vermont
Vaccinated:2017-01-18
Onset:2017-01-19
Submitted:2017-01-20
Entered:2017-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M022086 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chills, Dizziness, Fatigue, Hyperhidrosis, Hot flush, Vaccination site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Smoker; asthma; H/O pneumonia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient started w/chills and hot flashes, sweats on 1/19/17 at 3:00 pm. Patient in our office 1/20/17 2:00 pm, still complains of fatigue, lightheaded, painful at vaccination site (L) deltoid. Temp. 98.6 degrees F.


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Link To This Search Result:

http://medalerts.org/vaersdb/findfield.php?IDNUMBER=679469&WAYBACKHISTORY=ON


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